Digital health in the era of COVID-19: Reshaping the next generation of healthcare

Frontiers in Public Health, Journal Year: 2023, Volume and Issue: 11

Published: Feb. 15, 2023

COVID-19 is one of the most deadly diseases to have stricken us in recent decades. In fight against this disease, governments and stakeholders require all assistance they can get from various systems, including digital health interventions. Digital technologies are supporting tracking outbreak, diagnosing patients, expediting process finding potential medicines vaccines, disinfecting environment, The establishment electronic medical records, computerized clinical decision support telemedicine, mobile shown strengthen healthcare system. Recently, these aided sector a variety ways, prevention, early diagnosis, treatment adherence, medication safety, care coordination, documentation, data management, outbreak tracking, pandemic surveillance. On other hand, implementation such has questions cost, compatibility with existing disruption patient-provider interactions, sustainability, calling for more evidence on utility economic evaluations help shape next generation healthcare. This paper argues how interventions assist their opportunities, implications, limitations.

Language: Английский

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Digital Health Interventions to Improve Access to and Quality of Primary Health Care Services: A Scoping Review

International Journal of Environmental Research and Public Health, Journal Year: 2023, Volume and Issue: 20(19), P. 6854 - 6854

Published: Sept. 28, 2023

Global digital technology advances offer the potential to enhance primary health care (PHC) quality, reach, and efficiency, driving toward universal coverage (UHC). This scoping review explored how solutions aid PHC delivery UHC realization by examining context, mechanisms, outcomes of eHealth interventions. A comprehensive literature search was conducted, capturing qualitative quantitative studies, process evaluations, systematic or reviews. Our analysis 65 articles revealed that a well-functioning ecosystem—featuring adaptable, interoperable tools, robust Information Communications Technology foundations, enabling environments—is pivotal for interventions’ success. Facilities with better literacy, motivated staff, adequate funding demonstrated higher adoption technologies, leading improved, coordinated service patient satisfaction. However, eHealth’s is often restricted existing socio-cultural norms, geographical inequities in access, literacy disparities. underscores importance considering ecosystem’s readiness, user behavior, broader system requirements, capacity adopting while assessing impact.

Language: Английский

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Role of perceived ease of use, usefulness, and financial strength on the adoption of health information systems: the moderating role of hospital size

Humanities and Social Sciences Communications, Journal Year: 2024, Volume and Issue: 11(1)

Published: April 15, 2024

Abstract Adoption of a health information system is always challenge for hospitals. It because most the medical staff do not have enough skills to use new technology and due sensitivity data. These factors pose successful adoption in The aim this research find out which influence systems study investigated impact Financial status Hospital; Perceived Usefulness Ease Use on through questionnaire survey. Data was collected from 602 healthcare workers 20 hospitals close-ended Pakistan, where very slow. PLS-SEM used analysis. findings show that positive significant role Health Information Systems. finding also shows hospital size moderates relationship ease interestingly it does moderate among perceived usefulness financial strength toward systems. concludes use, are main factors, necessary useful implications policy makers, professionals successfully adopt provides avenues researchers explore other test framework countries.

Language: Английский

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Use of Digital Health Technologies by Older US Adults

JAMA Network Open, Journal Year: 2025, Volume and Issue: 8(1), P. e2454727 - e2454727

Published: Jan. 15, 2025

This survey study estimated digital health technology (DHT) use and evaluated the factors associated with DHT by US adults aged 50 to 80 years.

Language: Английский

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Health workers’ adoption of digital health technology in low- and middle-income countries: a systematic review and meta-analysis

Bulletin of the World Health Organization, Journal Year: 2025, Volume and Issue: 103(02), P. 126 - 135F

Published: Feb. 1, 2025

To conduct a systematic review and meta-analysis of the facilitators barriers to acceptance use digital health technology by workers in low- middle-income countries. We searched several databases for relevant articles published until 25 April 2024. extracted data on four unified theories factors (performance expectancy, effort social influence facilitating conditions) six additional (attitude, habit, incentive, risk, trust self-efficacy); how these affected outcomes behavioural intention actual use; strength association if reported. conducted quantitative studies. reviewed 36 publications, 20 which were included our meta-analysis. observed that performance expectancy was most frequently reported facilitator (in 21 studies; 58.3%) lack conditions cited barrier (10; 27.8%). From meta-analysis, (r = 0.53; 95% confidence interval, CI: 0.18 0.76) 0.42; 0.27 0.55) leading use, respectively. identified concerns with -0.14, -0.29 0.01) as primary both outcomes. Our approach clustering from perspective highlighted importance creating an enabling ecosystem. Supportive infrastructure, tailored training programmes incentive policies should be incorporated implementation

Language: Английский

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Digital Cognitive Behavioral Therapy for Panic Disorder and Agoraphobia: A Meta-Analytic Review of Clinical Components to Maximize Efficacy

Journal of Clinical Medicine, Journal Year: 2025, Volume and Issue: 14(5), P. 1771 - 1771

Published: March 6, 2025

Background: Although digital cognitive behavioral therapy (dCBT) is considered effective for anxiety disorders, there considerable heterogeneity in its efficacy across studies, and varied treatment content clinical components may explain such heterogeneity. Objective: This review aimed to identify the of panic disorder agoraphobia, examine whether applying relevant interoceptive exposure, inhibitory-learning-based personalization enhances efficacy. Methods: Randomized controlled trials dCBT agoraphobia with passive or active controls were identified from OVID Medline, Embase, Cochrane Library, PsycINFO. The overall effect sizes groups (interventions through platforms based on internet, mobile, computers, VR, etc.) aggregated against control (placebo/sham) (traditional CBT) groups. For subgroup analysis, key intervention as inhibitory learning, assessed dichotomously (0 1) along other study characteristics. stepwise meta-regression models applied traditional Bayesian statistical testing. risk bias publication included studies assessed. Results: Among 31 selected had an size g = 0.70 -0.05 control. In exposure improved effects both controls, learning increased therapist guide/support length sessions. Many vulnerable attrition bias. No was detected. Conclusions: can be explained by different factors they include. dCBT, therapists should consider treatment.

Language: Английский

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Reassessing the impact of social media on healthcare delivery: insights from a less digitalized economy

Cogent Public Health, Journal Year: 2024, Volume and Issue: 11(1)

Published: Feb. 3, 2024

Social media plays a crucial role in modern healthcare by promoting patient engagement, facilitating communication among professionals, and serving as platform for health education outreach. Its significance delivery continues to grow digital becomes increasingly integral the industry's efforts improve outcomes. Nonetheless, existing studies have not adequately empirically explored its impact less digitalized economies. Thus, this study seeks investigate of social on systems economic context. Leveraging engagement theory, employs partial least squares (PLS-SEM) approach explore Ghana's system. Based purposely selected sample 457 professionals from Ghana, found that using crisis management, patient-doctor relationships, information dissemination positively impacts systems. On contrary, use public relations activities did any significant delivery. This contributes growing literature affordances circular economy towards improved emerging The offers strategy optimizing within settings foster enhanced outcomes, particularly

Language: Английский

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The PICOTS-ComTeC Framework for Defining Digital Health Interventions: An ISPOR Special Interest Group Report

Value in Health, Journal Year: 2024, Volume and Issue: 27(4), P. 383 - 396

Published: April 1, 2024

Language: Английский

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Digital health literacy and digital engagement for people with severe mental ill health across the course of the COVID-19 pandemic in England

BMC Medical Informatics and Decision Making, Journal Year: 2023, Volume and Issue: 23(1)

Published: Sept. 26, 2023

Abstract Background An unprecedented acceleration in digital mental health services happened during the COVID-19 pandemic. However, people with severe ill (SMI) might be at risk of exclusion, partly because a lack skills, such as literacy. The study seeks to examine how use Internet has changed pandemic for SMI, and explore symptomatic/health related barriers internet engagement, Methods Over period from July 2020 February 2022, n = 177 an SMI diagnosis (psychosis-spectrum disorder or bipolar affective disorder) England completed three surveys providing sociodemographic information answering questions regarding their health, Internet, Results 42.5% participants reported experiences exclusion. Cochrane-Q analysis showed that there was significantly more last two assessments (80.8%, 82.2%) compared beginning (65.8%; ps < 0.001). Although 34.2% skills had improved pandemic, 54.4% still rated knowledge being fair worse than fair. Concentration difficulties (62.6%) depression (56.1%) were among most frequently symptomatic Internet. sample found have generally moderate levels literacy (M 26.0, SD 9.6). Multiple regression higher associated having outstanding/good self-reported (ES 6.00; 95% CI: 3.18–8.82; p .001), (compared psychosis spectrum – ES 5.14; 2.47–7.81; female 3.18; 0.59–5.76; .016). Conclusions These findings underline need training support increase facilitate reduce well offering non-digital engagement options service users SMI.

Language: Английский

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Exploring components and feasibility of health coaching interventions for self-management of Type 2 diabetes: A systematic review protocol (Preprint)

Published: Jan. 16, 2025

Type 2 diabetes (T2D) currently has no cure. However, extensive evidence suggests that addressing key risk factors through lifestyle changes can help individuals effectively self-manage their condition. Diabetes self-management primarily involves patients engaging in self-monitoring behaviours and adopting coping strategies to manage long-term illness. In recent years, health coaching interventions have gained recognition as a valuable approach for providing personalized support, enabling take an active role managing health. By fostering behaviour change goal setting, learning, accountability, empowerment, equips with the tools proactively condition over time. This is especially important researchers policymakers, it underscores need acceptable, engaging, care lasting positive impact, promoting self-sufficiency improved quality of life T2D. The aim study systematically review published, peer-reviewed, primary research studies examine intervention T2D identify conceptualize associated effectiveness, acceptability, engagement. protocol outlines procedure systematic follows methodology recommended by PRISMA guidelines. will include experimental (randomized controlled trial (RCT)), quasi-experimental designs, qualitative designs which focus on in-depth interviews group discussions (FGDs), published English up 1 December 2024. Following databases be used search articles: MEDLINE, PsycINFO, EMBASE, Cumulative Index Nursing Allied Health Literature (CINAHL via Ebsco host), Web science (core collection) Cochrane central library. To any additional did not appear while searching databases, citation searches manual reference lists all selected critical appraisal performed. Moreover, performed GoogleScholar Science. Eligible provide 1:1 delivered face-to-face, remotely digital technology, virtually AI-driven platforms within context comprising coach. Outcomes interest Glycated haemoglobin (HbA1c), other clinical outcomes, data related acceptability engagement obtained from patients. A double-screening process employed, two independent reviewers assessing randomly set 25 identified against inclusion criteria ensure consistency before proceeding screen remaining studies. Any disagreements resolved discussion until consensus reached. Outcome extracted, quantitative being narratively summarised, analysed performing thematic analysis framework analysis. underway anticipated completed June 2025. explore interventions, components, offer recommendations aimed at optimizing designs.

Language: Английский

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